Organization
BRUCE WILLNER DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM M MEYERS (MANAGER)
(330) 270-9620
Entity
Organization
Contact information
Practice address
3622 BELMONT AVE, YOUNGSTOWN, OH 44505-1450
(330) 270-9620
Mailing address
3622 BELMONT AVE, YOUNGSTOWN, OH 44505-1450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004681W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0791899
—
OH
Enumeration date
03/18/2008
Last updated
03/18/2008
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